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癫痫的国际分类 1954年Penfield分类之前的一个世纪间,癫痫是按病因学分为两大类。一类是大脑无特定病变的功能性癫痫。亦称特发性、原发性、真性、遗传性或中心脑性;另一类是可确定脑内病变的器质性癫痫,亦称结构性、症状性、继发性、灶性、实行这种两分法(dichotomy),是因其有助于癫痫发作预后及发作间歇期精神神经学症状的推断。 至六十年代观察到具有大脑弥漫性或多灶性病变(非癫痫灶)的广泛性癫痫的存在,其发作类型与特发性广泛性癫痫明显不同。此乃症状(继发)性广泛性癫痫,其中又分为West综合征和Lenaox Gastaut综合征。这一组癫痫因其发病与年龄密切相关,又称年龄依赖性癫痫性脑病。
International classification of epilepsy Penfield classification before 1954 a century ago, epilepsy is divided by etiology into two broad categories. One is the absence of specific brain lesions of functional epilepsy. Also known as idiopathic, primary, true, hereditary or central brain; the other is to identify intracerebral lesions of organic epilepsy, also known as structural, symptomatic, secondary, focal, the implementation of This dichotomy is due to its contribution to the prognosis of seizures and the inference of psychiatric neurological symptoms during the episode. The existence of extensive epilepsy with diffuse or multifocal lesions of the brain (non-epileptic foci) was observed by the 1960s and its type of attack was significantly different from idiopathic generalized epilepsy. This is a symptom (secondary) generalized epilepsy, which is divided into West syndrome and Lenaox Gastaut syndrome. This group of epilepsy because of its incidence and age are closely related, also known as age-dependent epileptic encephalopathy.